TY - JOUR
T1 - Rewarming for accidental hypothermia in an urban medical center using extracorporeal membrane oxygenation
AU - Morley, David
AU - Yamane, Kentaro
AU - O'Malley, Rika
AU - Cavarocchi, Nicholas C.
AU - Hirose, Hitoshi
PY - 2013/1/8
Y1 - 2013/1/8
N2 - Accidental hypothermia complicated by cardiac arrest carries a high mortality rate in urban areas. For moderate hypothermia cases conventional rewarming methods are usually adequate, however in severe cases extracorporeal membrane oxygenation (ECMO) is known to provide the most effcient rewarming with complete cardiopulmonary support. We report a case of severe hypothermia complicated by prolonged cardiac arrest successfully resuscitated using ECMO.A 45 year old female was brought to our emergency department with a core body temperature <25°C. Shortly after arrival she had witnessed cardiac arrest in the department. Resuscitative efforts were started immediately including conventional rewarming techniques, followed by ECMO support. ECMO was used successfully in this case to resuscitate this patient from prolonged arrest (3.5 hours) when conventional techniques likely would have failed. After a prolonged hospital course this patient was discharged with her baseline mental and physical capacities intact.This case demonstrates the advantages of advanced internal rewarming techniques, such as ECMO, for quick and effcient rewarming of severely hypothermic patients. This case supports the use of ECMO in severely hypothermic patients as the standard of care.
AB - Accidental hypothermia complicated by cardiac arrest carries a high mortality rate in urban areas. For moderate hypothermia cases conventional rewarming methods are usually adequate, however in severe cases extracorporeal membrane oxygenation (ECMO) is known to provide the most effcient rewarming with complete cardiopulmonary support. We report a case of severe hypothermia complicated by prolonged cardiac arrest successfully resuscitated using ECMO.A 45 year old female was brought to our emergency department with a core body temperature <25°C. Shortly after arrival she had witnessed cardiac arrest in the department. Resuscitative efforts were started immediately including conventional rewarming techniques, followed by ECMO support. ECMO was used successfully in this case to resuscitate this patient from prolonged arrest (3.5 hours) when conventional techniques likely would have failed. After a prolonged hospital course this patient was discharged with her baseline mental and physical capacities intact.This case demonstrates the advantages of advanced internal rewarming techniques, such as ECMO, for quick and effcient rewarming of severely hypothermic patients. This case supports the use of ECMO in severely hypothermic patients as the standard of care.
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U2 - 10.12659/AJCR.883728
DO - 10.12659/AJCR.883728
M3 - Article
C2 - 23569552
AN - SCOPUS:84873721296
SN - 1941-5923
VL - 14
SP - 6
EP - 9
JO - American Journal of Case Reports
JF - American Journal of Case Reports
ER -